Abstract
An eleven-year experience with intraaortic balloon pumping(IABP) in 57 patients with ischemic heart disease was analyzed with respects to early and late results. Three were 26 males and 31 females with a mean age of 66.8 years (range, 38 to 91 years). Coronary artery bypass grafting was performed in 39 patients, closure of ventricular septal perforation in 16, and other procedures in two. Sixty-one percents of patients(22/33) inserted preopera-tively could be weaned from IABP, 73% intraoperatively, and 89% postoperatively. The overall weaning rate from IABP was 68.4%(39/57). The main causes of hospital death were LOS in 17 patients, MOF in 6. Twenty nine patients (50.9%) were discharged from hospital. Twenty six patients are still alive, and 21 out of 26 patients show functional state in NYHA I. Actuarial survival rates at five years of overall and hospital survivors were 44.3%, 87.3%, respectively. We conclude that 1) LOS fellowed by MOF is the most prominent obstacle in IABP support, 2) operative survivors improve functional states, 3) alternative methods of circulatory support for the patients with uneffective IABP sunnort is recommended
